Interleukin 4 (IL-4) can suppress delayed-type
hypersensitivity reactions (DTHRs), including organ-specific
autoimmune diseases in mice and humans. Despite the broadly documented antiinflammatory effect of
IL-4, the underlying mode of action remains incompletely understood, as
IL-4 also promotes
IL-12 production by dendritic cells (DCs) and IFN-γ-producing T(H)1 cells in vivo. Studying the impact of
IL-4 on the polarization of human and mouse DCs, we found that
IL-4 exerts opposing effects on the production of either
IL-12 or
IL-23. While promoting IL-12-producing capacity of DCs,
IL-4 completely abrogates
IL-23. Bone marrow chimeras proved that IL-4-mediated suppression of DTHRs relies on the
signal transducer and activator of transcription 6 (STAT6)-dependent abrogation of
IL-23 in antigen-presenting cells. Moreover,
IL-4 therapy attenuated DTHRs by STAT6- and
activating transcription factor 3 (ATF3)-dependent suppression of the IL-23/T(H)17 responses despite simultaneous enhancement of
IL-12/TH1 responses. As
IL-4 therapy also improves
psoriasis in humans and suppresses IL-23/T(H)17 responses without blocking
IL-12/T(H)1, selective IL-4-mediated IL-23/T(H)17 silencing is promising as treatment against harmful
inflammation, while sparing the IL-12-dependent T(H)1 responses.